| Inspection Results: July 30, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
09/13/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
09/13/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
| Health |
09/13/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide proof that all residents' personal money which is deposited with the nursing home, is secure. |
| Health |
09/13/2007 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
| Health |
09/13/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give each resident care and services to get or keep the highest quality of life possible. |
| Health |
09/13/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
09/13/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide activities to meet the needs of each resident. |
| Inspection Results: July 25, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
09/10/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
09/10/2007 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
emergency lighting that can last at least 1 1/2 hours. |
| Fire Safety |
09/10/2007 |
Building Service Equipment Deficiencies |
Minimal harm or potential for actual harm |
properly protected cooking facilities. |
| Fire Safety |
09/10/2007 |
Emergency Plans and Fire Drills Deficiencies |
Minimal harm or potential for actual harm |
record of quarterly fire drills for each shift under varying conditions. |
| Fire Safety |
09/10/2007 |
Smoke Compartmentation and Control Deficiencies |
Minimal harm or potential for actual harm |
smoke barrier doors that can resist smoke for at least 20 minutes. |
| Fire Safety |
09/10/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Inspection Results: September 11, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
11/08/2006 |
Quality Care Deficiencies |
Actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
11/08/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
11/08/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
11/08/2006 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
| Health |
11/08/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
11/08/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
| Health |
11/08/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
11/08/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Inspection Results: September 06, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
11/02/2006 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
no-smoking signs where oxygen is used. |
| Fire Safety |
11/02/2006 |
Hazardous Area Deficiencies |
Minimal harm or potential for actual harm |
construction that can resist fire for one hour or an approved fire extinguishing system. |
| Fire Safety |
11/02/2006 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Inspection Results: September 13, 2005 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
09/26/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
10/01/2005 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
| Health |
10/03/2005 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
| Health |
09/26/2005 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
